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Alaska rates for HCPCS L5726

Addition, exoskeletal knee-shin system, single axis, external joints, fluid swing phase control

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,071.84 / $2,071.84 / $2,071.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,606.19 / $1,606.19 / $1,606.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,172.52 / $1,606.19 / $1,654.38
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.46 / $672.46 / $672.46
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,216.35 / $2,247.69 / $3,549.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.46 / $672.46 / $1,606.19
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,172.52 / $1,654.38 / $2,363.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,180.38 / $1,180.38 / $2,262.40